Individual
ROBERT C PAUL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 841-1234
(505) 841-1956
Mailing address
1720 LOUISIANA BLVD NE, STE 401, ALBUQUERQUE, NM 87110-7020
(505) 260-4300
(505) 260-4338
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R23059
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00093229
—
NM
05
—
915431
—
AZ
05
—
91579
—
NM
Enumeration date
06/01/2005
Last updated
07/09/2007
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